- Zelis (FL)
- …and financial negotiation with providers + Experience and working knowledge of Health Insurance , Medicare guidelines and various healthcare programs + ... concepts to expand the DRG product. + Manage assigned claims and claim report, adhering to client...paid time off, holidays, parental leaves, life and disability insurance , and health benefits including medical, dental,… more
- AmeriHealth Caritas (Charleston, SC)
- …hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, ... Serves as the subject matter expert in State specific health reimbursement rules and provider billing requirements and as...reviews. + Requests/runs queries to identify root causes of claim denials, incorrect payments and claims that… more
- Fairview Health Services (Minneapolis, MN)
- …Access, PowerPoint, Word **Preferred** **Experience** + 2 - 4 years experience in health care organization or health insurance company preferred ... and contracting databases such as Inmar. + Research common third party and health plan claim processing information to ensure accuracy in reporting using… more
- The Hartford (Lake Mary, FL)
- …- LM07DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every ... personal growth. Our Senior Staff Attorney is a fully remote position that will litigate cases throughout the State...individual will be required to work closely with our claim centers and insureds to deliver the best possible… more
- University of Colorado (Denver, CO)
- **Student Health Insurance Manager** **University of Colorado Denver** Student Health Insurance Manager-38358 University Staff **Description** **Join Our ... and responsibilities of the position include, but are not limited to: _Student Health Insurance Management_ + Serves as the on-campus representative for student… more
- Ochsner Health (New Orleans, LA)
- …future today!** The Appeals Specialist is responsible for managing and resolving insurance claim denials and underpayments to ensure accurate reimbursement. This ... + Experience in healthcare or revenue cycle - specifically insurance claim denials. + Strong analytical and...**Job Duties** + Review and analyze denied or underpaid claims to determine appeal opportunities. + Prepare and submit… more
- Highmark Health (Carson City, NV)
- …all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the ... and servicing quality dental networks in assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract… more
- Spectrum Billing Solutions (Skokie, IL)
- …Revenue Cycle Medical Billing Specialist will be responsible for the submission of insurance claims to payors, posting payments, and subsequent follow-up to ... skills. This is a remote or hybrid in-office/ remote position. Responsibilities: + Submit Electronic Claims ...filing information + Research, resolve and resubmit any rejected claims in a timely manner + Check claim… more
- BrightSpring Health Services (Washington, NC)
- …remote position We offer: DailyPay Flexible schedules Competitive pay Shift differential Health , dental, vision and life insurance benefits Company paid STD ... resolve issues of denials identified through adjudication, and follow-up claims in Point of Sale (POS) + Maintains current...of Sale (POS) + Maintains current knowledge of Medicaid claim regulations and processes + May produce reports and… more
- Veterans Affairs, Veterans Health Administration (Salisbury, NC)
- …vesting) and federal 401K with up to 5% in contributions by VA Insurance : Federal health /vision/dental/term life/long-term care (many federal insurance ... case approved positions would be approved locally to grant telework/ remote for those 180-days. The Tele Mental Health...claimed by the applicant. [If the applicant does not claim an ECFMG certificate, facility officials must still confirm… more